Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.45 / $39.29 / $62.59	Facility	26	$33.45	$39.29	$62.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $241.13 / $452.12	Professional		$149.37	$241.13	$452.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.40 / $33.45 / $58.00	Professional	26	$33.40	$33.45	$58.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.16 / $57.95 / $79.02	Professional	26	$28.16	$57.95	$79.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.19 / $86.68 / $105.13	Professional	26	$56.19	$86.68	$105.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.88 / $42.88 / $42.88	Facility	26	$42.88	$42.88	$42.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $415.37 / $785.74	Professional		$187.67	$415.37	$785.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.84 / $70.41 / $110.10	Professional	26	$41.84	$70.41	$110.10
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $58.70 / $68.00 / $114.31	Facility	26	$58.70	$68.00	$114.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $338.00 / $388.00	Professional		$50.00	$338.00	$388.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $58.70 / $58.70 / $58.70	Professional	26	$58.70	$58.70	$58.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $575.60 / $763.10	Professional		$138.00	$575.60	$763.10
United Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $343.37 / $806.36	Professional		$172.35	$343.37	$806.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $52.27 / $106.57	Professional	26	$38.11	$52.27	$106.57
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $88.87 / $98.17 / $183.68	Facility	26	$88.87	$98.17	$183.68
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,791.90 / $1,791.90 / $2,235.90	Professional		$1,791.90	$1,791.90	$2,235.90
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $258.60 / $258.60 / $301.95	Professional	26	$258.60	$258.60	$301.95